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Individual

CLEMENT ADJATEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1203 FAIRVIEW ST, GREENSBORO, NC 27405-6632
(336) 379-0724
Mailing address
1203 FAIRVIEW ST, GREENSBORO, NC 27405-6632
(336) 379-0724

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01036
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7704426
NC
Enumeration date
06/15/2015
Last updated
06/15/2015
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